RESILIENCE FACTOR COUNSELING AND EDUCATION LLC (NPI# 1164968988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164968988 |
Entity Type | Organization |
Organization Name | RESILIENCE FACTOR COUNSELING AND EDUCATION LLC |
Practice Address |
107 Enterprise Path Hiram GA 30141-2689 |
Mailing Address |
Po Box 5404 Douglasville GA 30154-0007 |
Practice Telephone | 4045396473 |
Mailing Telephone | 4045396473 |
Mailing Fax Number | 6783918067 |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |
Authorized Official Name | MR. JOSEPH B ADAMS JR. (FOUNDER / THERAPIST) |
Authorized Official Telephone | 4045396473 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LPC008970 | GA | Ambulatory Health Care Facilities |
Street Address |
107 ENTERPRISE PATH |
City | HIRAM |
State | GA |
Zip Code | 30141-2689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831577980 | Vanessa H Bonaparte | Counselor | 107 Enterprise Path, Suite 305, Hiram, GA 30141-2689 | 2015-05-09 |
1073036273 | Jessica Koalenz | Counselor | 107 Enterprise Path, Suite 305-2, Hiram, GA 30141 | 2017-07-19 |
1033654306 | Joseph B Adams Jr. | Counselor | 107 Enterprise Path, Suite 305, Hiram, GA 30141-2689 | 2016-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538671581 | Tranquil Life Counseling Center, LLC | Clinic/Center | 107 Enterprise Path Ste 305, Hiram, GA 30141-2690 | 2017-10-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.